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复方苦参注射液治疗胃癌的临床价值:一项荟萃分析。

The clinical value of Fufangkushen injection in the treatment of stomach cancer: a meta-analysis.

作者信息

Li Jin, Wu Mingdong, Tian Qingzhong, Xie Guangwei, Hu Yuanchao, Meng Qingliang, Zhang Minkang

机构信息

Department of Oncology Surgery, Xuzhou Central Hospital, Affiliated Hospital of Medical College of Southeast University, Xuzhou, China.

出版信息

J Cancer Res Ther. 2014 Aug;10 Suppl 1:42-5. doi: 10.4103/0973-1482.139755.

Abstract

OBJECTIVE

The purpose of this meta-analysis was to evaluate the effects of Fufangkushen injection combined with chemotherapy in the treatment of stomach cancer.

MATERIALS AND METHODS

The relevant clinical trials about Fufangkushen injection combined with chemotherapy in the treatment of stomach cancer were search in the data bases of Pubmed, EMBASE, Cochran and CNKI. The data related to objective response rate, Karnofsky (KPS) score and toxicity were extracted and pooled using the Stata 11.0 software. Dichotomous data was presented as risk ratio (RR) and its 95% confidence interval (95% CI).

RESULTS

Thirteen relevant trials were included in this meta-analysis. Heterogeneity test indicated there was no statistical heterogeneity among the studies, thus the fixed effects mode was used to calculat the results. Pooled results indicated that the objective response rate (ORR) and KPS score improvement in Fufangkushen chemotherapy group was significant higher than that of control group (RR = 1.24, P < 0.05). Synthesis data also demonstrated the Fufangkushen injection can significantly decrease the risk of developing granulocytopenia in stomach cancer patients treated with chemotherapy (RR = 0.67,P < 0.05).

CONCLUSION

Fufangkushen injection combined with chemotherapy can increase the objective response rate, improve the quality of life and decrease the risk of developing granulocytopenia in patients with stomach cancer.

摘要

目的

本荟萃分析旨在评估复方苦参注射液联合化疗治疗胃癌的效果。

材料与方法

在PubMed、EMBASE、Cochrane和CNKI数据库中检索关于复方苦参注射液联合化疗治疗胃癌的相关临床试验。使用Stata 11.0软件提取并汇总与客观缓解率、卡诺夫斯基(KPS)评分和毒性相关的数据。二分数据以风险比(RR)及其95%置信区间(95%CI)表示。

结果

本荟萃分析纳入了13项相关试验。异质性检验表明各研究之间无统计学异质性,因此采用固定效应模型计算结果。汇总结果表明,复方苦参化疗组的客观缓解率(ORR)和KPS评分改善显著高于对照组(RR = 1.24,P < 0.05)。综合数据还表明,复方苦参注射液可显著降低接受化疗的胃癌患者发生粒细胞减少的风险(RR = 0.67,P < 0.05)。

结论

复方苦参注射液联合化疗可提高胃癌患者的客观缓解率,改善生活质量,并降低发生粒细胞减少的风险。

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